Breast Implant Explantation

Removal of Breast Implants – En Bloc Dissection

Breast Implant Explantation & Concerns

Dr Fedric Barr has 34 years as a board-certified plastic surgeon. He has performed a great number of successful breast enlargement procedures. Of his patients who did request implant removal or exchange, the reasons were primarily, implant rupture, significant scar capsule removal or patients changing cosmetic desire.

In some cases, patients requested removal of their implants because the implants were thought to be making them ill. Thyroid hormone, allergy, or autoimmune issues have been reported. Symptoms include, but are not limited to, fatigue, low energy, brain fog, memory loss, headaches, joint and muscle pain, hair loss, repeated infections, swollen lymph nodes and glands, rashes, gastrointestinal upset, weight loss, insomnia, anxiety and depression.

Breast Implant Associated Anaplastic Large Cell Lymphoma

In 2011, the FDA became aware of Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), a rare condition now thought to be related to textured silicone breast implants. BIA-ALCL presents as significant pain and swelling in the implanted breast noted after the incision from the initial procedure has healed, often occurring years after the augmentation procedure. Treatment involves oncologic work-up and an en bloc dissection – complete removal of the implant and surrounding scar capsule tissue. Additional chemotherapy may also be indicated. Recently Australian researchers reported the risk of BIA-ACLC is approximately 1:3,000 and associated with textured silicone implants. It is completely curable if detected and treated early.

En Bloc Dissection

The terminology used when talking about breast implants and scar tissue can be quite confusing:

Implant – Refers to the breast implant itself – can be saline or silicone.

Capsulectomy: The capsule around the implant is removed. This procedure is usually done when the capsule feels hard or when an implant is being permanently removed.

En Bloc Removal: In this procedure, both the capsule and implant are removed in one piece, with the implant remaining contained within the capsule.

The Choice Is Yours

It is important to remember the choice to get implants and to remove them is ultimately the patients. Regardless of future definitive scientific silicone implant adverse associations, it is abundantly clear some women genuinely feel their bodies are being adversely affected by their implants and deserve to have their concerns acknowledged. For this subset of patients, Dr. Barr has advocated for the removal of their implants and surrounding scar tissue in hopes of freeing these women from the adverse reactions they believe their bodies are suffering. Cosmetic options after implant removal are either no further treatment or mastopexy – a procedure where breast tissue is reshaped to give a pleasant cosmetic breast appearance.

Talk to Your Surgeon

Today people are often influenced by the trends and information that is seen on social media. In truth, much of the information being circulated is based on personal opinions and not backed by scientific research. Although we all have a right to form our own opinions, it is a surgeon’s job to listen to a patient’s preferences and wishes and educate them regarding their options. It is also every surgeon’s responsibility to inform patients about possible complications based on the most up-to-date scientific evidence and do the best job possible to avoid any such complications. Every person heals and potentially reacts differently to surgery, and it is impossible to “ guarantee” the avoidance of every possible predictable or unpredictable complication. Patients need to weigh the benefits as well as the potential risks of breast implants and make their own choices. In turn, surgeons should listen carefully to their patients and help guide them with these most personal options.

The Food and Drug Administration (FDA) has been regulating the use of silicone breast implants since 1976. The FDA lifted their previous 14-year ban on silicone gel-filled implants approving the newly created more cohesive gel implants in 2006.

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Real Patients, Real Reviews

Absolutely with no reserve the best experience I have ever had at at Doctors office. Dr. Barr is the most charming man EVER!!!!!! He is an awesome surgeon and did my mini face lift with love and humor, I cant even say what a fantastic job that he did with no pain, the results are what I have been dreaming of!!!! He did the whole thing with Lidocaine injections and I did not feel a thing!!!! The office staff, Pam, LaDonna, Penny, Carla and Dr. Barr’s awesome Nurse Candy made me feel like I was their best friends, Would I go there again, I definitely plan to and I would never go to another Surgeon, I love them all and thank them for their concern and kindness!!!!!!

~ Marie Anteni

Dr. Barr and his staff are extremely pleasant and professional. The office setting is comfortable and everyone is helpful and informative. Dr. Barr is very gracious and skilled and he listens to his patients in a truly caring manner. I highly recommend this group if you want personalized and proficient care. All medical practices could take a cue from the way Dr. Barr makes each patient feel special.

~ Lynne

Excellent and professional ! Ethan happy with the services procured by Dr Barr and his staff

~ Daniele

It has been one week since my mini facelift with Dr. Barr. I am absolutely ecstatic about the result!! I feel fabulous!!! Dr. Barr is an amazing artist and person. His calm manner made me feel comfortable throughout the entire experience.Also, he personally called me two days in a row to see how I was. Dr. Barr’s staff is also amazing!! They are available 24/7 for any questions you might have. I highly recommend Dr. Barr and am willing to share my before and after photos with anyone who is contemplating the min- lift

~ Phyllis G.

Dr. Barr is a perfectionist ..He did a mini facelift on me an it came out exactly the way I thought it would. I was referred by a client to him and it was the best decision I made. Thank you so much.

~ Chris Niewolak

Best ever Doctor and staff!! Highly recommend!

~ Paula G.

Dr. Barr is the best.

~ Angela

Dr Barr and his staff r the best. I’m a big baby and they always make me feel relaxed and calm.

~ Barbara P.

Everyone was professional and caring! Could not have asked for a better experience! Thanks to everyone for a job well done!

~ Annette S.

Always professional and welcoming. Results were beyond my expectations!

~ Elizabeth

I have had great experiences and results with Dr Barr

~ Cindy

I believe that every patient want their doctor to be a genius. Dr Barr truly is a genius. He creates results that are natural and beautifully suited to the patient. In addition to his technical and creative talents, he is also a warm and compassionate individual who treats the patient with patience and kindness and who strives to tailor each treatment to the specific patient. I am thankful to the friend who recommended Dr Barr and to Dr Barr for giving me back my youth.

~ Valued P.

Truly happy. What more can anyone say when you improve their looks!

~ Michelle

This is my second mini face lift with Dr. Barr. I could go anywhere but Dr. Barr is the only doctor I trust with my face! Excellent doctor who produces excellent results.

~ Elizabeth H.

Excellent and competent doctor. Very professional. Wonderful and caring staff. Thanks to all of you .

~ Danièle T.

Enjoy the convenience of PGA location, would prefer better lighting. Staff and Dr. Barr are terrific, always make one feel comfortable.

~ Donna

As a leader in Cosmetic and Reconstructive Surgery industry, Dr. Barr is known as “the Physician that Physicians consult.” Dr. Barr is an active member of the American Society of Plastic Surgery as well as the American Society of Aesthetic Plastic Surgery, and has been in private practice in West Palm Beach for thirty years. It is for these reasons, combined with Dr. Barr and his staff’s extensive skills and experience, that Palm Beach Plastic & Cosmetic Surgery is a premier choice for those pursuing renewal in both beauty and spirit.

~ Darla from Palm Beach

Questions or Want to Schedule an Appointment? Click to Call (561) 833-4122